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AIM GLOBAL PROSPET APPLICATION FORM
PROSPECT INFORMATION SHEET
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SURNAME
*
Your answer
FIRST NAME
*
Your answer
MIDDLE NAME
Your answer
PHONE NO.
Your answer
EMAIL
*
Your answer
DATE OF BIRTH
*
MM
/
DD
/
YYYY
ADDRESS
*
Your answer
HOW DID YOU HEAR ABOUT ALLIANCE IN MOTION GLOBAL?
*
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Google Search
Newspaper
Radio
Online
A Friend
WILL YOU LIKE TO BECOME A RETAILER OR BUSINESS DEVELOPER?
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Yes
No
WHAT PACKAGE ARE YOU INTERESTED IN? PLEASE PICK OPTIONS BELOW
Global Starter Package = N36,000 or $181 (1 HEAD ACCOUNT)
Entrepreneur Package = N108,000 or $543 (3 HEADS ACCOUNT)
International Business = N252,000 or $1267 (7 HEADS ACCOUNT)
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